HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
s
s F
Planning and Developm en t Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMIT TVPE:Aluminum without concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 18503 Tranquility Base Ln Port St Lucie, FL 34987
Property Tax ID #: 3215-801-0074-000-7
Site Plan Name: Wack
Project Name: Wack
DETAILED DESCRIPTION OF WORK:
Install a 71'8" x 38' 6" aluminum/screen pool enclosure on slab by pool company.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
_Mechanical — Gas Tank _ Gas Piping — Shutters
Lot No. 21
Block No. 3
— Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 19,471.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Damon Wack Name: Michael J Newman
Address: 18503 Tranquility Base Ln Company: Pioneer Screen Co. Inc. 11
p Y=
City: Port St Lucie State: Address. 1682 SW Biltmore St
Zip Code: 34987 Fax: City. Port St Lucie State: FL
Phone No. 561-379-8941 Zip Code: 34984 Fax: 772-340-4626
E -Mail: Phone No 772-340-4393
Fill in fee simple Title Holder on next page [ if different E -Mail pioneerscreen@msn.com
from the Owner listed above) State or County License RX11066919
if unhia of rnnet--ti— -., 47rnn _ .��.-
---......., ...Ic vvJ1gllCIfGCIfler7L is requlrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION
DESIGNER/ENGINEER: .—Not Applicable
Name: Do Kim & Associates
Address: PO Box 10039
City: Tampa Stag: FL
Zip: 33879 —Phone &13 557-9955
FEE SIMPLE TITLE HOLDER: ` Not Applicable
Name.
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City.
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
of Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that nyo work or installation has commenced prior to the issuance of a permit.
wh ch is inoconflict with aony applicablelHa ea OwnersAssscg a aY nl rwill
esabylaws or and
covenants enanntss that build
prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your pro rty. A Notice of Commencement must be recorded and post on the jobsite
before the inspectio , ! you intend to obtain financing, consult wiender or an/�o ney before
com en 'n war or r or in our Notice of Commencement./'
Signature of
STATE OF FLORIDA
COUNTY OF Saint Lucie
r as Agent for Owner
The for ing mstrurre was acknowledged before me
this day of 20o� jby
Is
Michael J Newman
Name of person making statement
Personally Known ,,, OR Produced identification
Type of Identification
Signatur of Contract q Licen e Holder
STATE OF FLORIDA
COUNTY OF saint Lucie
The f rg ing instrum nt w s acknowledge before me
this day of 20 -, , by
Michael J Newman
Name of person eking statement
Personally Known �r'f OR Produced Identification _
Type of Identificatio
Produced
(Signature of Notary Public
I
ignature o Notary Public-
Commission No.
GG221434
�Q�'vey Notary Public State of Florida
gne Newman
41,
GG221434
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Notary Public State of Florida
F" 8 l�ieWt7tan
y oh mission GG 221434
mmission No.
Mlission GG 221434
Pa Ex¢ires 05/2312022`.
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Expires 05123/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev, 8/2/17
BOARD OF PLANNING $ DEVELOPMENT
COUNTY0 SERVICES DEPARTMENT
COMMISSIONERSF L . • Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMMT
Date:
Permit Number• Technician:
ReguirreI Documents.
Application completely filled out with Notarized Signatures.
.......... YesNa N/A
Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A ✓
0%mer / Builder Affidavit (signed in office) .............:...................................
Yes
No
NIA
f
Filled Land Affidavit (prior to issuance) .......................... .........................Yes
No
NIA
V
Recorded Wai-rany Deed, if applicable ....o ..................... ' ..:......... Yes -No NIA
Recorded Notice -of Commencemement (prior to issuance or inspection). .............. Yes` +/ No NIA
Utility Agreement or Payment Receipt (prior to issuance) ... . ............................. Yes No NIA
Vegetation Removal Application with copy of survey ..................................... Yes No NIA
Pians Calculations & Attachments (3 copies commercial, 2 copies residential).
Complete set of plans with Engineer / Architect Raised Seal ........................... Yes VINO.
NIA,
Truss Plans reviewed and approved by Engineer / Architect ............................ Yes No NIA
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No NIA V
Approved Site Plans .................................................. I.......................... Yep No NIA ✓
Sealed Survey with Dimensions, Finished floor ............................................ Yes No N/A
Elevations and Setbacks ........ . ......................... .................. ....
Yes_
No V(
NIA_
Plotplan with Setbacks. ....................................................
Yes
V No
N/A
Health Dep ortment �a�o��oomo�y���m�n�n
_�r'~'^~ ^ plan- ........................
YmsNm__�
l/
Health Department Food Establishment Por/it stamped. oOfloor plan .................
Yes _-_
�� ----NIA-__
_---
/
Manual "T"or "]�` (��/cn{a��os
~^~^~� ...................................................
Yes
�h�
w/
�
Manufacture Blocking Documents ................................................. '^~--'Yes
�
__V
Signed Enezgy'Ca}culatioos (} original oigoubure)-''-'-',''.'^^._'.-,.~'...........
Yes
No
�[�� /
Nq___
__-
----
�
Sealed Wind Load Compliance Certification ...........................................
Yes
Nm
Product Review Affidavit ...................................................... .............. '
Yes
_No
er�
/
Health ���t �
^^~�~'""^w` Paperwork ......................................................... No ��� ,
___
CT]for Fire Department ifcommercial qrouolti-familv'........................ ......... Yem____Nm___
DEP, Sy0/MD$rArmy Corp of Engineers (dock, seawall, SFoobeach) ............ No NIA^/
P¢n|/
~~^~^A^^^"=vu---'''-__'^--~--'.__-..................................... Y"___NwNIA V
Ground ��� ./
--�.�==^�o��n/°�uu�vu\u/�ou�------,^^--_---_-^~-_-._--Yeo No____
Bum Rate for ��m�a��u:�; �
__�_ _____.,_____^_,__...__________,,-�KmoL--'y��_-_
RV and Mobile -Home Tic -Down Only (3
/
x
Permit. Worksheet (/ie_uunwnDiagram) ...................................................... Yes
��
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----
--_�
_---
/
Manufacture Set -Up � dTo�tbT�inn��enum}---.~.'..`.._--_--.--.'.-''-
��o
y� o
w/
�
Manufacture Blocking Documents ................................................. '^~--'Yes
No ----
Signed Penetrometer Test (I copy) .........................................................
Yes
Nq___
StairDetails
.................... ^................................................................
NoNIAMobile
v'
{Home Inspection Report �}r�8���d�VD/U3��on�6_..---_-.-.........
NmNIA\/
/
Copy
ofTitle for Relocation (used only) ....................................................
Nm___
Private- ',��---iva-oobile}xoocn-r-
u/
Revised 7/27/18